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An example of the Modic changes related to degenerative disease in a 68-year-old farmer. Note the Type I Modic changes at L4–5 endplates showing hyperintense signal on STIR image (a) and hypointense signal on T1-weighted image (b). Also note the absence of any surrounding paravertebral edema or psoas involvement (c), differentiating these Modic changes from vertebral osteomyelitis
